14D2315497 CLIA NUMBER - MIDWEST EXPRESS CLINIC - EVERGREEN PARK

Laboratory Demographics

  • CLIA Code: 14D2315497
  • Facility Name: MIDWEST EXPRESS CLINIC - EVERGREEN PARK
  • Facility Address: 2508 W 94TH ST
    CHICAGO, IL
    ZIP 60805
  • Facility Phone: 708 470-7383
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LINDA PALUMBO
  • NPI Number: 1912793688
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2315497
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CLINIC - EVERGREEN PARK
Street 2508 W 94TH ST
City CHICAGO
State IL
ZIP 60805
Phone 708 470-7383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Other - URGENT CARE
Lab Director LINDA PALUMBO

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This page was last updated on: 9/29/2025